Abstract
Hydatid disease or hydatidosis caused by Echinococcus granulosus is the most widespread, serious human cestode infection in the world. Brain involvement is reported in 1–2% of all Echinococcus granulosus infections. Fifty–75% cases of the intracranial hydatid cysts are seen in children. We report a case of this rare entity of the isolated intracranial extradural hydatid cysts in an 18 years old young boy, who presented with history of generalized seizures and raised intracranial pressure. The patient underwent craniotomy with total excision of the cysts. The diagnosis of the hydatid disease was confirmed on histopathology. Patient was given albendazole for 3 months postoperatively. Postoperative computed tomography scan done 1 month later showed no residual cysts, however 2 years later patient again presented with recurrent seizures and this time computed tomography showed recurrence of cysts. Patient underwent craniotomy again with excision of the hydatid cysts and has been asymptomatic for the last 4 months.
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